Ray'Chelle Deshields

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

87663 Issued in NC

Practice address

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Phone

(919) 583-9329

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goldsboro CTC

  • Informatics Clinical Nurse Specialist
  • Goldsboro, NC
  • NPI 1376239590
  NPD
• Ats of North Carolina, LLC

  • Methadone Clinic
  • Shelby, NC
  • NPI 1609551688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1750163366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 RANDALL LN APT B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348857",
            "telephone_number": "919-920-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 201",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-583-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHIELDS",
        "first_name": "RAY'CHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "87663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Democko Chiropractic PLLC
• Joseph W Democko, DC
• Timothy J Deruyter, DDS
• Alyse B Deselms
• April Deselms
• Gwendolyn Simmons Devaughn, RPH
• Veronica Cristina Diaz Pulido, PA
• Franquil Nelson Diaz, DDS
• Hanna West Diffenbaugh
• Digestive Disease Center, PA

• Licensed Practical Nurse in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.